@layout("/backend/common/_container.html"){

<#Hidden id="entityMap" value="${entityMap}"/>

<div class="dhcc-form">

    <form method='post' id="contraindicationForm" name="contraindicationForm"
          enctype="multipart/form-data">
        <div class="form-group has-feedback">
            <label class="lab">禁忌症</label>
            <div class="ele">
                <input class="textbox" id="name"  name="name"   style="width: 500px">
            </div>
        </div>
        <div class="form-group has-feedback">
            <label class="lab">代码</label>
            <div class="ele">
                <input class="textbox" id="code"  name="code"  style="width: 500px">
            </div>
        </div>
        <div class="form-group has-feedback">
            <label class="lab">描述</label>
            <div class="ele">
                <input class="textbox" id="info"  name="info"   style="width: 500px">
            </div>
        </div>
        <div class="form-group has-feedback">
            <label class="lab">文献</label>
            <div class="ele">
                <input class="textbox" id="source"  name="source"   style="width: 500px">
            </div>
        </div>
<!--        <div class="form-group has-feedback">-->
<!--            <label class="lab">所属病种</label>-->
<!--            <div class="ele">-->
<!--                <input class="hisui-combobox textbox"   id="entityBox" style="width: 500px">-->
<!--            </div>-->
<!--        </div>-->
        <div class="form-group has-feedback">
            <label class="lab">是否启用</label>
            <div class="ele">
                <div id="active" class="hisui-switchbox  " style="margin-left:0px"
                     data-options="onText:'是',offText:'否',size:'small',animated:true,onClass:'primary',offClass:'gray',">
                </div>
            </div>
        </div>
        <div class="toolbar">
            <#Button name="保存" id="btnSave" icon="icon-w-save"
            clickFun="ContraindicationInfo.addSubmit()"/>
            <#Button name="关闭" id="btnSave" icon="icon-w-close" btnCss="l-bt-red"
            clickFun="ContraindicationInfo.close()"/>
        </div>
    </form>
</div>
<script src="${ctxPath}/static/backend/sdc/contraindication/contraindication_info.js"></script>
@}
